$143.70–$153.09
15271 represents the primary wound application service for specified trunk, arm, or leg applications; Q4293 identifies the Acesso DL product by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4293 Acesso DL Medicare reimbursement rates in Missouri
Q4293 identifies Acesso DL by square centimeter when the product is furnished with a primary procedure for wound treatment. Compare Q4293 office and facility rates across CMS payment localities in Missouri.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q4293 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$109.70–$121.15
3 of 3 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where Q4293 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Wound care product
About Q4293: Acesso DL wound product, per square centimeter
Q4293 identifies Acesso DL by square centimeter when the product is furnished with a primary procedure for wound treatment.
Q4293 identifies Acesso DL, a wound-care product reported by square centimeter. Clinicians treating open wounds may use the product during a wound procedure in settings such as a physician office or hospital outpatient department. This code represents the product, rather than the clinical work of preparing the wound or applying the material; the associated application is represented by a primary procedure code.
Report Q4293 only with a primary procedure, and keep the product quantity consistent with the square-centimeter amount documented in the product and wound records. Documentation should identify Acesso DL, the quantity furnished, the treated wound, and the associated procedure. CMS treats Q4293 as an add-on code paid within the primary procedure’s global period. It is also a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4293
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Q4293 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4292 identifies Lamellas, while Q4293 identifies Acesso DL. Select the product code that matches the material documented.
$109.70–$121.15
Q4294 identifies Amnio Quad-Core, not Acesso DL. The product identity, rather than wound size alone, distinguishes these codes.
Compare Q4293 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$119.49
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$121.15
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$109.70
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
Q4293 billing questions
Is Q4293 the wound application service?
No. It identifies the Acesso DL product by square centimeter. Report it with the primary procedure that represents the wound application.
Can Q4293 be billed by itself?
No. CMS classifies it as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period.
How should the quantity be documented?
Record the square-centimeter quantity of Acesso DL and identify the treated wound and associated primary procedure. The code’s unit basis is per square centimeter.
Does Q4293 include interpretation?
No. CMS classifies Q4293 as technical-component-only; a separate code covers interpretation.
How is Q4293 different from Q4292 or Q4294?
Those codes identify different named wound-care products. Use Q4293 when the documented product is Acesso DL, rather than selecting among them by wound size.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,377Q4290,,Membrane wrap hydr per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,378Q4291,,"Lamellas xt, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,379Q4292,,"Lamellas, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,380Q4293,,"Acesso dl, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,381Q4294,,"Amnio quad-core, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,382Q4295,,"Amnio tri-core, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,383Q4296,,"Rebound matrix, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00